Surgical Reconstruction of Severe Tophaceous Gout in the Hand

A Customized Approach

Mariarosaria Galeano, MD, PhD; Michele R. Colonna, MD, FEBOPRAS; Sandra Pfanner, MD; Massimo Ceruso, MD


Plast Reconstr Surg Glob Open. 2021;9(11):e3912 

In This Article


Our experience has highlighted that less common procedures such as large cortico-cancellous bone autograft, osteoarticular allograft, and custom-made cement bone spacers may be associated and represent an effective strategy, at least in the medium term, for functional recovery in the advanced stages of gouty arthritis of the hand. This customized reconstructive approach avoided amputations, providing a satisfactory result after a 13-year follow up.